In the fifth week of (human) fetal development, neuroblast cells migrate from the neural crest to form the sympathetic chain and preaortic ganglia. The cells migrate a second time to the adrenal medulla. Chromaffin cells also settle near the sympathetic ganglia, vagus nerve, paraganglia, and carotid arteries. In lower concentrations, extra-adrenal chromaffin cells also reside in the bladder wall, prostate, and behind the liver.

Chromaffin cells of the adrenal medulla are innervated by the splanchnic nerve and secrete adrenaline (epinephrine), noradrenaline (norepinephrine), and enkephalin and enkephalin-containing peptides into the blood stream. The secreted adrenaline and noradrenaline play an important role in the fight-or-flight response. The enkephalins and enkephalin-containing peptides are related to, but distinct from endogenous peptides named endorphins (which are secreted from the pituitary); all of these peptides bind to opioid receptors and produce analgesic (and other) responses. The hormones are secreted from granules; this is where the enzyme dopamine β-hydroxylase catalyzes the conversion of dopamine to noradrenaline. Distinct N and E cell forms exist (also Na and A cells in British nomenclature - noradrenaline and adrenaline); the former produce norepinephrine, the latter arise out of N cells through interaction with glucocorticoids, and convert norepinephrine into epinephrine.[1]

These cells are so-named because they can be visualized by staining with chromium salts. Chromaffin salts oxidize and polymerize catecholamines to form a brown color, most strongly in the cells secreting noradrenaline.

(The enterochromaffin cells cells are named because of their histological similarity to chromaffin cells, but their function is quite different.)